| NPI | 1447934005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KATONGOLE C.E.O 480-430-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |